ELIZABETH BRODERICK (NPI# 1881238962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881238962 |
| Entity Type | Individual |
| Full Name | ELIZABETH BRODERICK |
| Credential | LCSW |
| Practice Address |
225 Beach St Revere MA 02151-3130 |
| Practice Telephone | 6178846413 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
222934 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952677338 | Elizabeth Broderick | Student in an Organized Health Care Education/Training Program | 271 Huntington Avenue, Boston, MA 02115-4309 | 2012-03-29 |
| 1467457697 | Elizabeth Katherine Broderick | Pediatrics | 321 Main St, Newport News, VA 23601-3814 | 2005-06-15 |
| Street Address |
225 BEACH ST |
| City | REVERE |
| State | MA |
| Zip Code | 02151-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853580 | Carla Richman | Behavioral Analyst | 29 Arnold Street, Revere, MA 02151 | 2018-06-05 |
| 1558859850 | Citizens Physical Therapy Inc | Clinic/Center | 221 Beach St, Revere, MA 02151 | 2018-04-23 |
| 1396254892 | Holness Home Care | Home Health | 959 Revere Beach Parkway, Revere, MA 02151 | 2017-09-27 |
| 1841709938 | Stefanie Finocchio-durham | Acupuncturist | 107 Pearl Ave, Apt 3, Revere, MA 02151 | 2017-09-21 |
| 1174064265 | Hope Noelle Crowe | Behavioral Analyst | 164 Winthrop Parkway, Revere, MA 02151 | 2017-03-09 |
| 1033660469 | Driss Bahraoui | Interpreter | 21 Thornton St #1, Revere, MA 02151 | 2016-10-20 |
| 1568910081 | Lindsey J. Ellermeyer | Student in an Organized Health Care Education/Training Program | Revere Community Counseling, 265 Beach Street, Revere, MA 02151 | 2016-09-13 |
| 1851743470 | Jacqueline Galvez | Counselor | 252 Proctor Ave # 3, Revere, MA 02151 | 2016-07-07 |
| 1518321090 | Kathleen Elizabeth Pellecchia | Health Educator | 454 Broadway Fl 3, Revere, MA 02151 | 2016-04-11 |
| 1780098814 | David A Gross | Internal Medicine | Mgh Revere, 385 Broadway, Revere, MA 02151 | 2014-06-17 |
| Find all providers in zip 02151 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260586 | Carol Broder | Social Worker | 108 Waite St, Revere, MA 02151-2400 | 2018-09-27 |
| 1174904536 | Lucia H. Milla-deangelo | Social Worker | 15 Everard Ave, Revere, MA 02151-5516 | 2015-06-11 |
| 1528309531 | Theresa Cary Guillaume | Social Worker | 11 Overlook Ridge Dr Apt 328, Revere, MA 02151-1159 | 2013-03-15 |
| 1538286919 | Polly Walker Grant | Social Worker | 300 Ocean Ave., Revere, MA 02151 | 2007-03-23 |
| 1255374369 | Rebecca Sperber Roge | Social Worker | 107 Newhall St, Revere, MA 02151 | 2006-06-14 |
| 1932756483 | William Lopez | Social Worker | 300 Ocean Ave, Revere, MA 02151-3675 | 2019-08-20 |
| 1003398900 | Karen Suttle | Social Worker | 15 Everard Ave, Revere, MA 02151-5516 | 2018-09-06 |
| 1366921819 | Lauren Kaitlin Kramer | Social Worker | 300 Ocean Ave, Revere, MA 02151-3675 | 2018-08-07 |
| 1609276328 | Mary Mcdonald | Social Worker | 300 Ocean Ave, 3d Floor, Revere, MA 02151-3675 | 2014-08-29 |
| 1952652232 | Sharla Beth Randazzo | Social Worker | 454 Broadway, Revere, MA 02151-3034 | 2012-09-26 |
| Find all providers in REVERE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.